The BBFC claims that Rockstar "ignored" the suggested changes to the game and says that the title is still simply too grotesque. The changes do not "go far enough to address [the] concerns about the original version," says the BBFC. Director of the BBFC David Cooke went so far as to express his disapproval to the press:

The impact of the revisions on the bleakness and callousness of tone, or the essential nature of the gameplay, is clearly insufficient. There has been a reduction in the visual detail in some of the ‘execution kills’, but in others they retain their original visceral and casually sadistic nature.

Rockstar is reportedly preparing to meet with the Video Appeals Committee in the UK later this year in the hope of appealing this decision, which was previously suspended for a reclassification of Manhunt 2 upon revision. There's no word on whether the UK version presented was equivalent to the version given to the ESRB.

Update: Rockstar has issued a statement regarding the ruling, reiterating that the company will be "continuing to appeal the British Board of Film Classification's (BBFC) decision to deny the edited version of Manhunt 2 an 18+ certificate and thereby ban its release in the United Kingdom." Furthermore, Rockstar feels that the "changes necessary in order to publish the game in Britain are unacceptable [...] and represent a setback for video games," citing other adult content such as films as a comparable medium allotted more freedom.